entry form 2 by RacD7s

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									                                                   2010 UPHA Horse Show
                                           (One Form per Horse/Rider Combination)

Date:                                                           Coggins Checked: ____________
                   Tab: _________ Paid: __ ____ Back #: __________ Coggins Checked: ___________




  Owners Name: _ ________________________                           UPHA Member Number: __________

  Horses Name: _ ________________________                            Horses Age as of 1/1/2009: _____

  Rider/Driver:    _ _________________________                         Phone #: _ ________________
                                               $5 Per Class
         Class           *** SEI Approved Helmets are required for riders age 18 & under in all riding classes
        Number                      Class
           1       Weanlings & Yearlings Halter                                   34   ** Surprise Class *** (New 2010)
           2       Mares & Geldings 2 & 3                                         35   Barrels 3-13 Juv.
           3       Mares 4 & Over                                                 36   Barrels 14-25 - Junior
           4       Geldings 4 & Over                                              37   Barrels 26 & Over - Senior
           5       Miniature Horse - Any sex/age                                  38   Midwest Flags - Open
           6       Multi Color Halter Class *New 2010                             39   Homerun Open
           7       Solid Halter Class *New 2010                                   40   Plug Race 3-13 - Juv.
           8       Showmanship 3 - 13 Juv                                         41   Plug Race 14-25 Junior
           9       Showmanship - 14-25 Junior                                     42   Plug Race 26 & Over - Senior
          10       Showmanship - 26 & Over Sen.                                   43   Scuda Hole Open
          11       Miniature Horse Trail                                          44   Pole Bending 3 - 13 Juv.
          12       Lead Line Trail (Ages 3-10)                                    45   Pole Bending 14 - 25 - Junior
          13       Lead line (Ages 3 - 10)                                        46   Pole Bending 26 & Over - Senior
          14       Pleasure Driving                                               47   Pole Roll Back - Open
          15       Junior Horse English Pleasure
          16       Senior Horse English Pleasure                                          Release of Liability
          17       English Pleasure 18 & Under                         The UPHA and co-sponsoring organizations shall not be
          18       English Pleasure 19 & Over                        responsible for any personal injury or for loss or damage to
                                                                        property occurring at any UPHA activity. Each owner,
          19       English Equitation 18 & Under                        exhibitor, handler or cosigner shall indemnify and hold
          20       English Equitation 19 & Over                       harmless the UPHA, its officers, directors and employees
          21       Walk / Trot Open (Novice Rider)                      and volunteers from and against all claims, demands,
          22       Walk/ Trot Pleasure - (Nov horse)                   causes of actions and expenses of every kind, including
          23       Junior Horse Western Pleasure                       attorney's fees, arising out of or related in any manner to
                                                                     the acts or commissions of an owners, exhibitor, handler or
          24       Senior Horse Western Pleasure                      cosigner, or the actions of any animal under the care and
          25       Western Pleasure 3-13 Juv                             custody or control of its owners, handler, exhibitor, or
          26       Western Pleaser 14-25 Junior                          cosigner. Presentation of signed entry forms shall be
          27       Western Pleasure 26 & Over Sen.                     deemed acceptance of the conditions of this rule. In the
                                                                          event an entry or consignment form is not signed or
          28       Western Horsemanship 18 & Under
                                                                     presented, appearance on the grounds or at the safe ring of
          29       Western Horsemanship 19 & Over                        any UPHA activity as an exhibitor, handler, owner or
          30       Western Riding Open                                     cosigner shall be deemed to be acceptance of the
          31       Reining Open                                                          conditions of this rule.
          32       Trail 18 & Under
          33       Trail 19 & Over
                                                                   Signature:        ________________________________
                   Total Classes:                                      $5.00         $5.00 per Class
                   Office Fee:                                                     1 Per exhibitor
                   Total Due:
                  Juvenile - Age 3 to 13         Junior - Age 14 to 25               Senior Age 26 and Over

								
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